STAGES
HEMORRHAGE STAGE IDENTIFIED BY A QBL OF ≥ 1,000 mL WITH CONTINUED ABNORMAL BLEEDING
WHAT IS STAGE 1
WHAT IS OXYTOCIN: INCREASE RATE IF ALREADY INFUSING
MOST COMMON CAUSE OF POSTPARTUM HEMORRHAGE
WHAT IS UTERINE ATONY
IN 2019, THIS PERCENTAGE OF MATERNAL DEATHS WERE RELATED TO PPH
WHAT IS 11%
WHEN ACTIVATING THE MASSIVE TRANSFUSION PROTOCOL (MTP) FOR HEMORRHAGE, THE RN MUST NOTIFY THIS DEPARTMENT & SPECIFY THIS TYPE
WHAT IS THE BLOOD BANK AND OB MTP
CALLING THE BLOOD BANK TO ACTIVATE STAGE 3 OB MTP MEANS YOUR PATIENT'S QBL IS
WHAT IS ≥ 1,500 mL
SECOND LINE MEDICATION FOR A PERINATAL HEMORRHAGE
WHAT IS METHERGINE
FIRST STEP WHEN PATIENT HAS A TRICKLE OF BLOOD
WHAT IS FUNDAL MASSAGE
PPH AFFECTS THIS MANY WOMEN ANNUALLY
WHAT IS @ 14 MILLION
WHEN ENTERING THE ORDERS IN EPIC FOR A MASSIVE TRANSFUSION, THE RN CAN SEARCH FOR THIS IN THE ORDERS
RN CALLS PROVIDER/ANESTH. DURING STAGE 2. SHE WILL ALSO NOTIFY THE FOLLOWING 3 PEOPLE
WHO ARE THE NURSING SUPERVISOR; PASTORAL CARE; INTERVENTIONAL RADIOLOGY
CONTRAINDICATION OF METHERGINE
WHAT IS HYPERTENSION
FIRST 3 STEPS TO TAKE WHEN PATIENT IS HEMORRHAGING
WHAT IS TO
CONTINUE FUNDAL MASSAGE IF UTERINE BLEED; CALL FOR ASSISTANCE - BROADCAST ASSIGN DUTIES TO OTHERS THAT COME TO HELP
PPH, THE LEADING CAUSE OF MATERNAL MORTALITY RESULTS IN THIS MANY MATERNAL DEATHS GLOBALLY EACH YEAR
WHAT IS @ 70,000
THE FIRST REPEAT PACK OF PRODUCTS FROM BLOOD BANK WILL CONTAIN THESE
WHAT IS 4 u PRBCs; 4 u PLASMA; 1 u PLATELETPHERESIS
DURING THIS STAGE, THE RN SHOULD TRANSFUSE 2 u PRBCs PER SIGNS/SYMPTOMS
WHAT IS STAGE 2
WHAT IS ASTHMA
THREE DUTIES TO ASSIGN DURING A HEMORRHAGE
WHAT IS RUNNER (GRAB HEMORRHAGE CART; MEDS; ETC); RECORDER; SOMEONE TO CONTINUOUSLY WEIGH PADS
4 T'S OF PPH: TONE; TISSUE; TRAUMA; THROMBIN EQUATE TO THESE
WHAT IS UTERINE ATONY (tone); RETAINED PLACENTA (tissue); LACERATION (trauma); COAGULOPATHY (thrombin)
THIS PRODUCT WILL BE INCLUDED IN THE SECOND REPEAT PACK OF PRODUCTS FOR OB HEMORRHAGES
WHAT IS pCRYO
THESE ARE THE SIGNS/SYMPTOMS TO BE ASSESSED TO DETERMINED NEED FOR BLOOD
WHAT ARE PULSE (>110); BP (<85/45); AND O2 SAT (<95% OR TRENDING)
SECOND LINE MEDICATION FOR PATIENTS WITH HYPERTENSION AND ASTHMA
WHAT IS CYTOTEC
THIS REQUIRES CAREFUL INSPECTION TO DETECT
WHAT IS A LACERATION
THIS IS THE PERCENTAGE OF NEONATAL DEMISES ASSOCIATED WITH PPH (INCLUDES STILLBIRTH AND NEONATAL MORTALITY)
WHAT IS 11%
ONCE THE NEED FOR BLOOD PRODUCTS HAS ENDED, THE RN SHOULD COORDINATE THESE 2 TASKS RIGHT AWAY
WHAT IS NOTIFY BLOOD BANK THE MTP HAS STOPPED; RETURN ANY REMAINING PRODUCTS TO BLOOD BANK